Elizabeth D.ebolum
Specialty details in registry · Desoto, TX
At a glance
1704 N Hampton Rd, Desoto, TX 75115-8623
NPPES record updated Nov 14, 2008. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
1704 N Hampton Rd Ste 207Desoto, TX 75115-8623
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 332B00000X
- Enumeration date
- Oct 25, 2006
- Record updated
- Nov 14, 2008
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
332B00000X · Primary
License reported: 166130801 TX
Specialty details in registry
332B00000X
License reported: 166130802 TX
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1704 N Hampton RdSte 207
Desoto, TX 75115-8623
- Phone
- (972) 224-4500
- Fax
- (972) 224-4501
Mailing address
1704 N HAMPTON RDSTE 207
DESOTO, TX 751158623
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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